腹腔镜巨脾切除术10例

A report about 10 cases of laparoscopic splenectomy

目的 探讨腹腔镜巨脾切除术的临床可行性。方法 回顾分析作者医院2006年1月-2006年12月10例（其中手助7例）腹腔镜巨脾切除术的临床资料。结果 10例腹腔镜下巨脾切除术全部成功,手术时间60-170 min,平均90 min;术中出血100-900 ml,平均350 ml;术后住院5-12 d,平均8.5 d,无术后明显并发症。术后引流留置3-8 d,平均5 d。结论 腹腔镜巨脾切除术在临床上是安全可行的。

Objective To explore the feasibility of laparoscopic splenectomy. Methods Of 10 patients undergoing laparoseopie spleneetomy（7 cases with hand - assistance） in our hospital between January 2006 and October 2006, the clinical data and outcome were reviewed retrospectively. Results Laparoscopic splenectomy were successfully completed in l0 cases, with mean operative time of 90 min,ranging from 60 to 170 min,and mean blood loss of 350 ml during operation,ranging from 100 to 900 ml. The abdominal drainage maintained for 3 to 8 days after operation （ average of 5 days）. The mean postoperative hospital stays for this group of patients were 8. 5 days（ ranging from 5 to 12 days）. All patients recovered smoothly without any complication after operation. Conclusion The clinical application of laparoscopic approach to spleneetomy is feasible and safe.